Endometrial NeoplasmsPhase 3NCT04634877
Study of Pembrolizumab (MK-3475) in Combination With Adjuvant Chemotherapy With or Without Radiotherapy in Participants With Newly Diagnosed Endometrial Cancer After Surgery With Curative Intent (MK-3475-B21 / KEYNOTE-B21 / ENGOT-en11 / GOG-3053)
A Phase 3 study testing Pembrolizumab, Carboplatin and Paclitaxel in people with Endometrial Neoplasms, run by Merck Sharp & Dohme LLC at 231 sites in 28 countries.
Trial summary
The purpose of this study is to compare pembrolizumab + adjuvant chemotherapy with placebo + adjuvant chemotherapy, with or without radiotherapy, with respect to disease-free survival (DFS) as assessed radiographically by the investigator or by histopathologic confirmation of suspected disease recurrence, and with… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Endometrial Neoplasms
- What is being tested?
- Pembrolizumab, Carboplatin and Paclitaxel
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 990 participants
- Where
- 231 sitesin 28 countries
- Study dates
- 10 Jan 2021to 20 Nov 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has a histologically confirmed new diagnosis of Endometrial Carcinoma or Carcinosarcoma (Mixed Mullerian Tumor) and:
- Has undergone curative intent surgery that included hysterectomy and bilateral salpingo-oophorectomy; and
- Is at high risk for recurrence following treatment with curative intent surgery, ie: Fédération Internationale de Gynécologie et d'Obstétrique (FIGO) 2009 surgical stage I/II with myometrial invasion of non-endometrioid histology; FIGO 2009 surgical stage I/II with myometrial invasion of any histology with known aberrant p53 expression or p53 mutation; or FIGO (2009) surgical stage III or IVA of any histology.
- Is disease-free with no evidence of loco-regional disease or distant metastasis post operatively and on imaging.
- Has not received any radiation or systemic therapy, including immunotherapy, hormonal therapy, or hyperthermic intraperitoneal chemotherapy (HIPEC), in any setting including the neoadjuvant setting for endometrial cancer (EC).
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days before randomization.
- Submission of a tumor tissue sample from current diagnosis of Endometrial Carcinoma or Carcinosarcoma for prospective determination of histology and mismatch repair (MMR) status by central vendor is required for all participants.
- Has adequate organ function within 7 days of randomization.
Who cannot join
- Has recurrent endometrial carcinoma or carcinosarcoma.
- Has uterine mesenchymal tumor such as an endometrial stromal sarcoma, leiomyosarcoma, or other types of pure sarcomas. Adenosarcomas are also not allowed.
- Has FIGO (2009) Surgical Stage I/II EC of endometrioid histology without a known aberrant p53 expression or p53 mutation.
- Is known to have a deoxyribonucleic acid (DNA) polymerase epsilon catalytic subunit A (POLE) mutation.
- Has FIGO Stage IVB disease of any histology even if there is no evidence of disease after surgery.
- Has residual tumor whether measurable or non-measurable after surgery.
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- Has a history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years.
- Note: The time requirement does not apply to participants who underwent successful definitive resection of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, in situ cervical cancer, or other in situ cancers.
- Has received prior therapy with an anti-programmed cell death receptor 1 (PD-1), anti-programmed cell death receptor ligand 1 (PD-L1), or anti-programmed cell death receptor ligand 2 (PD-L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), OX-40, CD137).
- Has received a live vaccine within 30 days before the first dose of study intervention.
- Note: killed vaccines are allowed.
- Has a known intolerance to study intervention (or any of the excipients).
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks before the first dose of study intervention.
- Note: Participants who have entered the follow-up phase of an investigational study may participate as long as it has been 4 weeks after the last dose of the previous investigational agent.
- Has any contraindication to the use of carboplatin or paclitaxel.
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study intervention.
- Has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
- Has an active autoimmune disease that has required systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
- Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis.
- Has an active infection requiring systemic therapy.
- Has a known history of HIV infection.
- Has a known history of Hepatitis B or known active Hepatitis C virus infection.
- Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study.
- Has had an allogenic tissue/solid organ transplant.
- Has not recovered adequately from surgery and/or any complications from the surgery.
- Is breastfeeding.
Trial locations and contacts
231 sites in 28 countries.
231 sites in 28 countries
United States29 sites
Northside Hospital ( Site 3036)
Atlanta, Georgia, 30342
University Of Colorado ( Site 3051)
Aurora, Colorado, 80045
University of Alabama - Birmingham ( Site 3061)
Birmingham, Alabama, 35249
Northwestern Memorial Hospital ( Site 3044)
Chicago, Illinois, 60611
The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive C ( Site 3066)
Columbus, Ohio, 43210
UT Southwestern Medical Center ( Site 3063)
Dallas, Texas, 75390
Duke Cancer Center ( Site 3072)
Durham, North Carolina, 27710
Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 3080)
Fargo, North Dakota, 58102
Parkview Cancer Institute ( Site 3067)
Fort Wayne, Indiana, 46845
Indiana University Melvin and Bren Simon Cancer Center ( Site 3071)
Indianapolis, Indiana, 46202
University of Iowa Hospital and Clinics ( Site 3046)
Iowa City, Iowa, 52242
UCSD Moores Cancer Center ( Site 3053)
La Jolla, California, 92093-0698
Norton Cancer Institute - St. Matthews ( Site 3056)
Louisville, Kentucky, 40207
Mount Sinai Cancer Center ( Site 3081)
Miami Beach, Florida, 33140
Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 3076)
Mineola, New York, 11501
University of South Alabama, Mitchell Cancer Institute ( Site 3058)
Mobile, Alabama, 36604
Smilow Cancer Hospital at Yale New Haven ( Site 3070)
New Haven, Connecticut, 06511
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health ( Site 3042)
New York, New York, 10016
Sidney Kimmel Cancer Center - Jefferson Health ( Site 3078)
Philadelphia, Pennsylvania, 19107
HonorHealth Research Institute - Biltmore ( Site 3043)
Phoenix, Arizona, 85016
AHN West Penn Hospital ( Site 3060)
Pittsburgh, Pennsylvania, 15224
Legacy Good Samaritan Medical Center ( Site 3033)
Portland, Oregon, 97210
VCU Massey Cancer Center ( Site 3068)
Richmond, Virginia, 23298
WK Physicians Network/Gynecologic Oncology Associates ( Site 3047)
Shreveport, Louisiana, 71103
Sanford Gynecology Oncology ( Site 3045)
Sioux Falls, South Dakota, 57104
Montefiore Medical Center ( Site 3065)
The Bronx, New York, 10461
Arizona Oncology Associates PC- HOPE ( Site 3049)
Tucson, Arizona, 85711
Abington Hospital - Asplundh Cancer Center ( Site 3073)
Willow Grove, Pennsylvania, 19090
University of Massachusetts Medical School-Division of Gynecologic Oncology ( Site 3037)
Worcester, Massachusetts, 01605
China24 sites
Beijing Cancer Hospital ( Site 4048)
Beijing, Beijing Municipality, 100036
Peking Union Medical College Hospital ( Site 4036)
Beijing, Beijing Municipality, 100730
The First Hospital of Jilin University ( Site 4057)
Changchun, Jilin, 130000
Hunan Cancer Hospital ( Site 4050)
Changsha, Hunan, 410006
Xiangya Hospital Central South University ( Site 4035)
Changsha, Hunan, 410008
Sichuan Cancer Hospital. ( Site 4039)
Chengdu, Sichuan, 610041
Chongqing Cancer Hospital ( Site 4040)
Chongqing, Chongqing Municipality, 400030
The First Affiliated Hospital ( Site 4043)
Guangzhou, Guangdong, 510080
The First Affiliated Hospital, Zhejiang University-Gynecology ( Site 4002)
Hangzhou, Zhejiang, 310003
Women s Hospital School of Medicine Zhejiang University ( Site 4032)
Hangzhou, Zhejiang, 310006
Harbin Medical University Cancer Hospital ( Site 4033)
Harbin, Heilongjiang, 150081
Anhui Provincial Hospital-Obstetrics and Gynecology ( Site 4034)
Hefei, Anhui, 230001
Yunnan Province Cancer Hospital-Gynecology Department ( Site 4055)
Kunming, Yunnan, 650107
Jiangxi Maternal and Child Health Hospital ( Site 4051)
Nanchang, Jiangxi, 530021
Nanjing Drum Tower Hospital ( Site 4037)
Nanjing, Jiangsu, 210008
Guangxi Medical University Affiliated Tumor Hospital ( Site 4049)
Nanning, Guangxi, 530221
Obstetrics and Gynecology Hosp. Fudan University ( Site 4041)
Shanghai, Shanghai Municipality, 200090
Shanghai Renji Hospital Affiliated to Jiao Tong University ( Site 4053)
Shanghai, Shanghai Municipality, 200127
Shanghai First Maternity and Infant Hospital-Gynecology department ( Site 4001)
Shanghai, Shanghai Municipality, 201204
Tianjin Medical University Cancer Institute & Hospital ( Site 4054)
Tianjin, Tianjin Municipality, 300000
The First Affiliated Hospital of Wenzhou Medical University ( Site 4056)
Wenzhou, Zhejiang, 325000
Hubei Cancer Hospital ( Site 4059)
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xi an Jiaotong University ( Site 4045)
Xi'an, Shaanxi, 710061
The First Affiliated Hospital of Xiamen University ( Site 4060)
Xiamen, Fujian, 361003
Japan17 sites
Hyogo Cancer Center ( Site 4195)
Akashi, Hyōgo, 673-8558
National Hospital Organization Kyushu Cancer Center ( Site 4193)
Fukuoka, 811-1395
University of the Ryukyus Hospital ( Site 4184)
Ginowan, Okinawa, 901-2725
Saitama Medical University International Medical Center ( Site 4182)
Hidaka, Saitama, 350-1298
National Cancer Center Hospital East ( Site 4197)
Kashiwa, Chiba, 277-8577
Kurume University Hospital ( Site 4186)
Kurume, Fukuoka, 830-0011
National Hospital Organization Shikoku Cancer Center ( Site 4181)
Matsuyama, Ehime, 791-0280
Aichi Cancer Center ( Site 4190)
Nagoya, Aichi-ken, 464-8681
Niigata Cancer Center Hospital ( Site 4185)
Niigata, 951-8566
Osaka Prefectural Hospital Organization Osaka International Cancer Institute ( Site 4188)
Osaka, 541-8567
Gunma Prefectural Cancer Center ( Site 4183)
Ōta, Gunma, 373-8550
Hokkaido University Hospital ( Site 4194)
Sapporo, Hokkaido, 060-8648
Iwate Medical University Hospital ( Site 4189)
Shiwa-gun, Iwate, 028-3695
Shizuoka Cancer Center ( Site 4192)
Suntogun, Shizuoka, 411-8777
Cancer Institute Hospital of JFCR ( Site 4196)
Tokyo, 135-8550
Keio University Hospital ( Site 4191)
Tokyo, 160-8582
Ehime University Hospital ( Site 4187)
Tōon, Ehime, 791-0295
Russia13 sites
Arkhangelsk Clinical Oncological Dispensary ( Site 2637)
Arkhangelsk, Arkhangelskaya oblast, 163045
Chelyabinsk Regional Clinical Center Oncology and Nuclear Medicine ( Site 2644)
Chelyabinsk, Chelyabinsk Oblast, 454087
Republican Clinical Oncology Dispensary of Tatarstan MoH named after professor M.Z. Sigal ( Site 2646)
Kazan', Tatarstan, Respublika, 420029
Krasnoyarsk Regional Clinical oncology dispensary ( Site 2643)
Krasnoyarsk, Krasnoyarsk Krai, 660133
Fed State Budgetary Inst "N.N. Blokhin Med Center of Oncology" MHRF Dep.of antitumor drug therapy #4 ( Site 2634)
Moscow, Moscow, 115522
Moscow Research Oncology Institute named after P.A. Hertsen ( Site 2631)
Moscow, Moscow, 125284
Scientific Research Institute of Clinical Oncology "Nizhegorodsky Regional Oncology Dospensary" ( Site 2639)
Nizhny Novgorod, Nizhny Novgorod Oblast, 603126
Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 2636)
Saint Petersburg, Sankt-Peterburg, 197758
Samara Regional Clinical Oncology Center-Chemotherapy Dapartment ( Site 2649)
Samara, Samara Oblast, 443031
National Research Ogarev Mordovia State University ( Site 2648)
Saransk, Mordoviya, Respublika, 430032
Tomsk Scientific Research Institute of Oncology-Chemotherapy ( Site 2638)
Tomsk, Tomsk Oblast, 634028
Republican Clinical Oncology Dispensary of Republic of Bashkortostan ( Site 2645)
Ufa, Baskortostan, Respublika, 450054
Yaroslavl Regional SBIH Clinical Oncology Hospital ( Site 2641)
Yaroslavl, Yaroslavl Oblast, 150054
France12 sites
CHU Besancon - Hopital Jean Minjoz ( Site 2068)
Besançon, Doubs, 25000
Institut Bergonie ( Site 2067)
Bordeaux, Gironde, 33076
Centre Francois Baclesse ( Site 2062)
Caen, Calvados, 14076
Institut Regional du Cancer de Montpellier - ICM ( Site 2069)
Montpellier, Herault, 34298
Hopital prive du Confluent ( Site 2061)
Nantes, Loire-Atlantique, 44277
Centre Antoine Lacassagne ( Site 2073)
Nice, Alpes-Maritimes, 06189
Hopital Cochin ( Site 2070)
Paris, Île-de-France Region, 75014
Centre Hospitalier Lyon Sud ( Site 2064)
Pierre-Bénite, Rhone, 69310
Hôpital Privé Des Côtes d'Armor ( Site 2063)
Plérin, Cotes-d Armor, 22190
Institut Universitaire du Cancer Toulouse - Oncopole ( Site 2065)
Toulouse, Haute-Garonne, 31059
Institut De Cancerologie De Lorraine ( Site 2072)
Vandœuvre-lès-Nancy, Ain, 54519
Gustave Roussy ( Site 2071)
Villejuif, Île-de-France Region, 94805
Belgium11 sites
AZORG Campus Aalst-Moorselbaan ( Site 2038)
Aalst, Oost-Vlaanderen, 9300
Saint-Luc UCL ( Site 2042)
Brussels, Bruxelles-Capitale, Region de, 1200
AZ Maria Middelares Gent ( Site 2032)
Ghent, Oost-Vlaanderen, 9000
Universitair Ziekenhuis Gent ( Site 2037)
Ghent, Oost-Vlaanderen, 9000
AZ Groeninge ( Site 2036)
Kortrijk, West-Vlaanderen, 8500
UZ Leuven ( Site 2040)
Leuven, Vlaams-Brabant, 3000
CHC - Groupe Sante ( Site 2041)
Liège, 4000
CHU Liege Sart-Tilman ( Site 2044)
Liège, 4000
C.I.U. Hopital Ambroise Pare ( Site 2039)
Mons, Hainaut, 7000
AZ Nikolaas ( Site 2031)
Sint-Niklaas, Oost-Vlaanderen, 9100
CHR Verviers ( Site 2035)
Verviers, Liege, 4800
Italy10 sites
Azienda Ospedaliera Spedali Civili di Brescia ( Site 2135)
Brescia, 25123
INOC - Istituto Nazionale Oncologico Candiolo ( Site 2125)
Candiolo, Piedmont, 10060
Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 2122)
Milan, Lombardy, 20133
IRCCS Ospedale San Raffaele ( Site 2130)
Milan, 20132
Istituto Europeo di Oncologia IRCCS-Divisione di Ginecologia Oncologica ( Site 2132)
Milan, 20141
Azienda Ospedaliera Universitaria Federico II ( Site 2123)
Naples, 80131
Istituto Nazionale Tumori IRCCS Fondazione Pascale ( Site 2127)
Naples, 80131
Istituto Oncologico Veneto IRCCS-Oncologia 2 ( Site 2134)
Padova, 35128
Istittuto Nazionale dei Tumori Regina Elena IRCCS - IFO ( Site 2121)
Roma, Abruzzo, 00144
Fondazione Policlinico Universitario Agostino Gemelli ( Site 2124)
Rome, Lazio, 00168
Argentina9 sites
Centro de Oncología e Investigación de Buenos Aires ( Site 1005)
Berazategui, Buenos Aires, B1884BBF
IDIM - Instituto de Diagnóstico e Investigaciones Metabólicas ( Site 1010)
Buenos Aires, C1012AAR
Hospital Aleman ( Site 1001)
Buenos Aires, C1118AAT
IDIM Instituto de Diagnostico e Investigaciones Metabolicas ( Site 1006)
CABA, Buenos Aires, C1012AAR
CEMIC ( Site 1009)
CABA, Buenos Aires, C1431FWO
Hospital Britanico de Buenos Aires ( Site 1002)
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1280AEB
Centro Oncologico Riojano Integral ( Site 1007)
La Rioja, F5300COE
Instituto de Investigaciones Clinicas Mar del Plata ( Site 1003)
Mar del Plata, Buenos Aires, B7600FZO
Instituto de Oncologia de Rosario ( Site 1004)
Rosario, Santa Fe Province, S2000KZE
Germany8 sites
Universitätsklinikum Bonn-Gynaecological oncology ( Site 2103)
Bonn, North Rhine-Westphalia, 53127
Universitaetsklinikum Carl Gustav Carus Dresden-Klinik und Poliklinik für Frauenheilkunde und Gebur ( Site 2104)
Dresden, Saxony, 01307
Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung ( Site 2105)
Essen, North Rhine-Westphalia, 45136
Medizinische Hochschule Hannover-Department of Obstetrics and Gynecology ( Site 2109)
Hanover, Lower Saxony, 30625
SLK-Kliniken Heilbronn GmbH ( Site 2116)
Heilbronn, Baden-Wurttemberg, 74078
Universitätsklinikum Schleswig-Holstein ( Site 2101)
Lübeck, Schleswig-Holstein, 23538
Klinikum Ludwigsburg ( Site 2111)
Ludwigsburg, Baden-Wurttemberg, 71640
Universitaetsklinikum Tuebingen ( Site 2113)
Tübingen, Baden-Wurttemberg, 72076
United Kingdom8 sites
Bristol Haematology and Oncology Centre ( Site 2244)
Bristol, Bristol, City of, BS2 8ED
Castle Hill Hospital-Academic Oncology ( Site 2252)
Cottingham, East Riding Of Yorkshire, HU165JQ
Beatson West of Scotland Cancer Centre ( Site 2247)
Glasgow, Glasgow City, G12 0YN
Leicester Royal Infirmary. Univ. Hosp. of Leicester NHS Trust ( Site 2249)
Leicester, LE1 5WW
UCLH NHS Foundation Trust ( Site 2242)
London, London, City of, NW1 2PG
Royal Marsden NHS Foundation Trust ( Site 2248)
London, London, City of, SW3 6JJ
The Christie Hospital NHS Foundation Trust ( Site 2243)
Manchester, M20 4BX
Royal Marsden Hospital Sutton-Surrey ( Site 2241)
Sutton, London, City of, SM2 5PT
Mexico7 sites
Investigacion Onco Farmaceutica S de RL de CV ( Site 1127)
La Paz, Baja California Sur, 23040
Centro Oncologico Internacional. SEDNA ( Site 1121)
Mexico City, Mexico City, 04700
Instituto Nacional de Cancerologia ( Site 1124)
Mexico City, Mexico City, 14080
Hospital Angeles Roma ( Site 1123)
Mexico City, 06700
Filios Alta Medicina ( Site 1125)
Monterrey, Nuevo León, 64460
I Can Oncology Center SA de CV ( Site 1126)
Monterrey, Nuevo León, 64710
Hospital San Lucas Cardiologica del Sureste ( Site 1122)
Tuxtla Gutiérrez, Chiapas, 29090
Poland7 sites
Bialostockie Centrum Onkologii ( Site 2483)
Bialystok, Podlaskie Voivodeship, 15-027
Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 2482)
Gliwice, Silesian Voivodeship, 44-102
Swietokrzyskie Centrum Onkologii. ( Site 2485)
Kielce, Świętokrzyskie Voivodeship, 25-734
Szpital Kliniczny Ministerstwa Spraw Wewnętrznych i Administracji z Warmińsko-Mazurskim Centrum Onko ( Site 2486)
Olsztyn, Warmian-Masurian Voivodeship, 10-228
Wielkopolskie Centrum Onkologii im.M.Sklodowskiej-Curie ( Site 2484)
Poznan, Greater Poland Voivodeship, 61-866
Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2487)
Siedlce, Masovian Voivodeship, 08-110
Szpital Kliniczny im Ks Anny Mazowieckiej ( Site 2481)
Warsaw, Masovian Voivodeship, 00-315
Spain7 sites
Hospital Vall D Hebron ( Site 2182)
Barcelona, 08035
Hospital Clinic i Provincial ( Site 2185)
Barcelona, 08036
Hospital Universitario Reina Sofia ( Site 2183)
Córdoba, 14004
Institut Català d'Oncologia (ICO) - Girona ( Site 2184)
Girona, Gerona, 17007
Clinica Universitaria de Navarra ( Site 2181)
Madrid, Madrid, Comunidad de, 28027
Hospital Clinico San Carlos ( Site 2187)
Madrid, 28040
Hospital Universitario La Paz ( Site 2186)
Madrid, 28046
Turkey (Türkiye)7 sites
Baskent Adana Dr Turgut Noyan Uygulama ve Arastirma Merkezi ( Site 2355)
Adana, 01250
Cukurova Uni. Tip Fakultesi ( Site 2353)
Adana, 01330
Baskent Universitesi Ankara Hastanesi ( Site 2354)
Ankara, 06490
Ankara Universitesi Tıp Fakultesi Hastanesi ( Site 2350)
Ankara, 06590
Medipol Universite Hastanesi ( Site 2352)
Istanbul, 34214
Ege University Medical Faculty ( Site 2351)
Izmir, 35100
I.E.U. Medical Point Hastanesi ( Site 2356)
Izmir, 35575
Ukraine7 sites
Chernihiv Medical Center of Modern Oncology ( Site 2368)
Chernihiv, Chernihiv Oblast, 14029
Municipal Enterprise "Bukovinian сlinical oncology сenter" ( Site 2366)
Chernivtsi, Chernivetska Oblast, 58013
SO Grigoriev Institute for Medical Radiology and Oncology of NAMS of Ukraine ( Site 2363)
Kharkiv, Kharkiv Oblast, 61024
MNE "Khmelnytskyi regional antitumor center" ( Site 2365)
Khmelnitskyi, Khmelnytskyi Oblast, 29009
LISOD - Israeli Oncological Hospital MedX-ray International Group LLC ( Site 2364)
Kiev, Kyivska Oblast, 08720
Volyn Regional Clinical Hospital Regional Medical Oncology Centre ( Site 2362)
Lutsk, Volyn Oblast, 43018
Lviv State Oncology Regional Treatment and Diagnostic Center ( Site 2361)
Lviv, Lviv Oblast, 79031
Greece6 sites
Geniko Panepistimako Nosokomeio ARETEIO ( Site 2423)
Athens, Attica, 115 28
Perifereiako Geniko Nosokomeio ALEXANDRA ( Site 2425)
Athens, Attica, 115 28
Athens University Hospital ATTIKON ( Site 2424)
Chaïdári, Attica, 124 62
Hospital Hygeia ( Site 2426)
Marousi, Attica, 151 23
General Hospital of Patras. St Andrews ( Site 2421)
Pátrai, Achaia, 263 35
Euromedica General Clinic of Thessaloniki ( Site 2422)
Thessaloniki, 546 45
Canada5 sites
Arthur J.E. Child Comprehensive Cancer Centre ( Site 3007)
Calgary, Alberta, T2N 5G2
Kingston Health Sciences Centre ( Site 3003)
Kingston, Ontario, K7L 2V7
Centre Hospitalier de l Universite de Montreal - CHUM ( Site 3006)
Montreal, Quebec, H2X 0C1
McGill University Health Centre ( Site 3005)
Montreal, Quebec, H4A 3J1
Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 3002)
Québec, Quebec, G1J 1Z4
Chile5 sites
Fundacion Arturo Lopez Perez FALP ( Site 1062)
Santiago, Region M. de Santiago, 7500921
Centro de Cancer Nuestra Senora de la Esperanza ( Site 1063)
Santiago, Region M. de Santiago, 8330032
Bradfordhill-Clinical Area ( Site 1070)
Santiago, Region M. de Santiago, 8420383
Centro Investigación del Cáncer James Lind ( Site 1061)
Temuco, Araucania, 4800827
Oncocentro ( Site 1065)
Viña del Mar, Valparaiso, 2520598
Denmark5 sites
Aalborg Universitetshospital ( Site 2511)
Aalborg, North Denmark, 9100
Rigshospitalet University Hospital ( Site 2515)
Copehagen, Capital Region, 2100
Herlev Hospital ( Site 2514)
Herlev, Capital Region, 2730
Odense Universitetshospital ( Site 2512)
Odense, Region Syddanmark, 5000
Roskilde Sygehus ( Site 2513)
Roskilde, Region Sjælland, 4000
Israel5 sites
Rambam Medical Center ( Site 2307)
Haifa, 3525408
Edith Wolfson Medical Center ( Site 2306)
Holon, 5810001
Hadassah Medical Center. Ein Kerem ( Site 2303)
Jerusalem, 9112001
Rabin Medical Center ( Site 2305)
Petah Tikva, 4941492
Chaim Sheba Medical Center ( Site 2301)
Ramat Gan, 5265601
South Korea5 sites
National Cancer Center ( Site 4065)
Goyang-si, Kyonggi-do, 10408
Seoul National University Bundang Hospital ( Site 4063)
Seongnam-si, Kyonggi-do, 13620
Severance Hospital Yonsei University Health System ( Site 4062)
Seoul, 03722
Asan Medical Center ( Site 4061)
Seoul, 05505
Samsung Medical Center ( Site 4064)
Seoul, 06351
Taiwan5 sites
Changhua Christian Hospital ( Site 4095)
Changhua, 50006
Taichung Veterans General Hospital ( Site 4094)
Taichung, 407
MacKay Memorial Hospital ( Site 4092)
Taipei, 10449
Taipei Veterans General Hospital ( Site 4093)
Taipei, 11217
Linkou Chang Gung Memorial Hospital ( Site 4091)
Taoyuan, 33305
Colombia4 sites
Instituto Nacional de Cancerología E.S.E ( Site 1094)
Bogotá, Bogota D.C., 111511
Fundación Valle del Lili ( Site 1093)
Cali, Valle del Cauca Department, 760032
Fundacion Colombiana de Cancerología Clinica Vida ( Site 1096)
Medellín, Antioquia, 050030
Instituto Cancerologico de Nariño S.A.S. ( Site 1092)
Pasto, Departamento de Nariño, 520002
Czechia4 sites
Fakultní nemocnice Brno Bohunice-Gynekologicko-porodnicka klinika ( Site 2394)
Brno, Brno-mesto, 62500
Fakultni nemocnice Olomouc ( Site 2392)
Olomouc, 77900
Fakultni nemocnice Kralovske Vinohrady ( Site 2393)
Prague, Praha 10, 100 34
Vseobecna fakultni nemocnice v Praze ( Site 2391)
Prague, Praha 2, 128 08
Finland3 sites
Kuopio University Hospital ( Site 2543)
Kuopio, Northern Savonia, 70210
Tampere University Hospital ( Site 2541)
Tampere, Pirkanmaa, 33520
Turku University Hospital ( Site 2542)
Turku, Southwest Finland, 20520
Norway3 sites
Soerlandet sykehus HF Kristiansand ( Site 2152)
Kristiansand, Vest-Agder, 4615
Oslo Universitetssykehus Radiumhospitalet ( Site 2151)
Oslo, 0310
University Hospital of North Norway ( Site 2153)
Tromsø, Troms, 9019
Sweden3 sites
Universitetssjukhuset i Linkoping. ( Site 2222)
Linköping, Östergötland County, 581 85
Karolinska Universitetssjukhuset Solna ( Site 2220)
Solna, Stockholm County, 171 76
Blod-och Tumorsjukdomar ( Site 2221)
Uppsala, Uppsala County, 751 85
Austria2 sites
Medizinische Universitat Graz ( Site 2004)
Graz, Styria, 8036
Medizinische Universitaet Innsbruck ( Site 2001)
Innsbruck, Tyrol, 6020
About this study
Official title: A Phase 3, Randomized, Double-Blind Study of Pembrolizumab Versus Placebo in Combination With Adjuvant Chemotherapy With or Without Radiotherapy for the Treatment of Newly Diagnosed High-Risk Endometrial Cancer After Surgery With Curative Intent (KEYNOTE-B21 / ENGOT-en11 / GOG-3053)
The purpose of this study is to compare pembrolizumab + adjuvant chemotherapy with placebo + adjuvant chemotherapy, with or without radiotherapy, with respect to disease-free survival (DFS) as assessed radiographically by the investigator or by histopathologic confirmation of suspected disease recurrence, and with respect to overall survival (OS). The primary hypotheses are that pembrolizumab + adjuvant chemotherapy is superior to placebo + adjuvant chemotherapy, with or without radiotherapy, with respect to DFS as assessed radiographically by the investigator or by histopathologic confirmation of suspected disease recurrence, and with respect to OS.
- Conditions
- Endometrial Neoplasms
- Being tested
- Pembrolizumab, Carboplatin, Paclitaxel, Placebo for pembrolizumab, Docetaxel
- Keywords
- Programmed Cell Death-1 (PD1, PD-1), Programmed Death-Ligand 1 (PDL1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2 )
- Medical subject headings
- Endometrial Neoplasms, Parkinson Disease 4, Autosomal Dominant Lewy Body
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PembrolizumabBiological
Also called KEYTRUDA®, MK-3475
IV infusion
CarboplatinDrug
IV infusion
PaclitaxelDrug
IV infusion
Placebo for pembrolizumabDrug
IV infusion
DocetaxelDrug
IV infusion docetaxel 75 mg/m^2 Q3W or 25 mg/m2 QW may be given in place of paclitaxel following sponsor consultation if a participant experiences severe hypersensitivity to paclitaxel or an adverse event requiring discontinuation of paclitaxel.
CisplatinDrug
Also called Platinol®, Platinol®-AQ
Cisplatin 75 mg/m^2 IV infusion Q3W may be given in place of carboplatin following sponsor consultation if a participant experiences severe hypersensitivity to carboplatin or an adverse event requiring discontinuation of carboplatin.
External Beam Radiotherapy (EBRT)Radiation
≥4500 cGY given according to local practice, at the discretion of the investigator
Cisplatin (as radiosensitizer)Drug
Also called Platinol®, Platinol®-AQ
If a participant receives external beam radiotherapy (EBRT), then cisplatin 50 mg/m^2 IV infusion may be administered as a radiosensitizer at the discretion of the investigator, on days 1 and 29
BrachytherapyRadiation
Also called Internal radiation therapy
Given according to local practice, at the discretion of the investigator
| Study group | Role | What they receive |
|---|---|---|
| Pembrolizumab + Chemotherapy | Experimental | Participants receive pembrolizumab 200 mg intravenously (IV) on Day 1 of each 3-week cycle (Q3W) for 6 cycles followed by pembrolizumab 400 mg IV on Day 1 of each 6-week cycle (Q6W) for an additional 6 cycles. During the Q3W dosing period of pembrolizumab, participants receive concurrent standard of care (SoC) chemotherapy for 4 or 6 cycles. Participants optionally receive radiotherapy starting within 6 weeks of completion of SoC chemotherapy. The SoC chemotherapy regimen includes carboplatin AUC 5 or 6 IV Q3W plus paclitaxel 175 mg/m^2 IV Q3W. In the event of severe hypersensitivity to, or an AE requiring discontinuation of, carboplatin or paclitaxel, cisplatin or docetaxel may be substituted after investigator consults with sponsor. The SoC radiotherapy regimen may include, at the discretion of the investigator, external beam radiotherapy (EBRT) ≥4500 cGY with variable dose frequency, with or without cisplatin 50 mg/m^2 IV on days 1 and 29 of EBRT, and/or brachytherapy radiation. Receives: Biological: Pembrolizumab; Drug: Carboplatin; Drug: Paclitaxel; Drug: Docetaxel; Drug: Cisplatin; Radiation: External Beam Radiotherapy (EBRT); Drug: Cisplatin (as radiosensitizer); Radiation: Brachytherapy |
| Placebo + Chemotherapy | Placebo comparator | Participants receive placebo to pembrolizumab intravenously (IV) on Day 1 of each 3-week cycle (Q3W) for 6 cycles followed by placebo IV on Day 1 of each 6-week cycle (Q6W) for an additional 6 cycles. During the Q3W dosing period of placebo, participants receive concurrent standard of care (SoC) chemotherapy for 4 or 6 cycles. Participants optionally receive radiotherapy starting within 6 weeks of completion of SoC chemotherapy. The SoC chemotherapy regimen includes carboplatin AUC 5 or 6 IV Q3W plus paclitaxel 175 mg/m^2 IV Q3W. In the event of severe hypersensitivity to, or an AE requiring discontinuation of, carboplatin or paclitaxel, cisplatin or docetaxel may be substituted after investigator consults with sponsor. The SoC radiotherapy regimen may include, at the discretion of the investigator, external beam radiotherapy (EBRT) ≥4500 cGY with variable dose frequency, with or without cisplatin 50 mg/m^2 IV on days 1 and 29 of EBRT, and/or brachytherapy radiation. Receives: Drug: Carboplatin; Drug: Paclitaxel; Drug: Placebo for pembrolizumab; Drug: Docetaxel; Drug: Cisplatin; Radiation: External Beam Radiotherapy (EBRT); Drug: Cisplatin (as radiosensitizer); Radiation: Brachytherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence
DFS is defined as the time from randomization to the first documented local recurrence, distant metastasis, secondary systemic malignancy, or death due to any cause, whichever occurs first. The DFS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence, will be presented.
Measured: Up to approximately 42 months
Overall Survival (OS)
OS is defined as the time from randomization to death due to any cause.
Measured: Up to approximately 54 months
Secondary outcomes (10)
Disease-Free Survival (DFS) as Assessed Radiographically by Blinded Independent Central Review (BICR) or by Histopathologic Confirmation of Suspected Disease Recurrence
DFS is defined as the time from randomization to the first documented local recurrence, distant metastasis, secondary systemic malignancy, or death due to any cause, whichever occurs first. The DFS as assessed radiographically by BICR or by histopathologic confirmation of suspected disease recurrence, will be presented.
Measured: Up to approximately 42 months
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Combined Positivity Score (CPS)-Determined Programmed Cell Death 1 Ligand 1 (PD-L1) Status
DFS is defined as the time from randomization to the first documented local recurrence, distant metastasis, secondary systemic malignancy, or death due to any cause, whichever occurs first. The DFS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence by CPS-determined PD-L1 status will be presented.
Measured: Up to approximately 42 months
Overall Survival (OS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Combined Positivity Score (CPS)-Determined Programmed Cell Death 1 Ligand 1 (PD-L1) Status
OS is defined as the time from randomization to death due to any cause. The OS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence by CPS-determined PD-L1 status will be presented.
Measured: Up to approximately 54 months
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Tumor Mutation Burden (TMB) Status
DFS is defined as the time from randomization to the first documented local recurrence, distant metastasis, secondary systemic malignancy, or death due to any cause, whichever occurs first. The DFS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence by tumor mutation burden (TMB) status, will be presented.
Measured: Up to approximately 42 months
Overall Survival (OS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Tumor Mutation Burden (TMB) Status
OS is defined as the time from randomization to death due to any cause. The OS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence by tumor mutation burden (TMB) status will be presented.
Measured: Up to approximately 54 months
Number of Participants Who Experience One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experience an AE will be presented.
Measured: Up to approximately 54 months
Number of Participants Who Discontinue Study Treatment Due to an Adverse Event (AE)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinue study treatment due to an AE will be presented.
Measured: Up to approximately 52 weeks
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status/Quality of Life (QoL) Score
The EORTC QLQ-C30 is a questionnaire that rates the overall quality of life in cancer participants. Participant responses to questions 29 ("How would you rate your overall health during the past week?") and 30 ("How would you rate your overall quality of life during the past week?") are scored on a 7-point scale (1= Very poor to 7=Excellent). A higher score indicates a better overall health/quality of life status. The change from baseline in EORTC QLQ-C30 Items 29 and 30 combined scores will be presented.
Measured: Baseline and up to approximately 54 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Physical Function Score
The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to 5 questions about their physical functioning are scored on a 4-point scale (1=not at all to 4=very much). A higher score indicates a better quality of life. The change from baseline in physical function (EORTC QLQ-C30 Items 1-5) score will be presented.
Measured: Baseline and up to approximately 54 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Symptom Specific Scale for Endometrial Cancer (EORTC QLQ-EN24) Score
The EORTC-QLQ-EN24 is a 24-item questionnaire developed to be used in conjunction with the EORTC-QLQ-C30 to assess the quality of life of endometrial cancer patients. Participant responses are scored on a 4-point scale (1=not at all to 4=very much). A higher score indicates a better quality of life. The change from baseline in EORTC QLQ-E24 score will be presented.
Measured: Baseline and up to approximately 54 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2020
- Study start10 Jan 2021
- Primary completion20 Nov 2026 (estimated)
- Study completion20 Nov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Endometrial NeoplasmsStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 990 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- European Network of Gynaecological Oncological Trial Groups (ENGOT), Gynecologic Oncology Group
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04634877
- Sponsor's protocol ID
- 3475-B21
- Other IDs
- KEYNOTE-B21, ENGOT-en11, GOG-3053, jRCT2031200399, 2022-501973-37-00, U1111-1282-6430, 2020-003424-17
- Status last verified
- Sep 2026
- First submitted
- 12 Nov 2020
- Last updated
- 18 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Publications
Van Gorp T, Cibula D, Lv W, Backes F, Ortac F, Hasegawa K, Lindemann K, Savarese A, Laenen A, Kim YM, Bodnar L, Barretina-Ginesta MP, Gilbert L, Pothuri B, Chen X, Flores MB, Levy T, Colombo N, Papadimitriou C, Buchanan T, Hanker LC, Eminowicz G, Rob L, Black D, Lichfield J, Lin G, Orlowski R, Keefe S, Lortholary A, Slomovitz B; ENGOT-en11/GOG-3053/KEYNOTE-B21 investigators. ENGOT-en11/GOG-3053/KEYNOTE-B21: a randomised, double-blind, phase III study of pembrolizumab or placebo plus adjuvant chemotherapy with or without radiotherapy in patients with newly diagnosed, high-risk endometrial cancer. Ann Oncol. 2024 Nov;35(11):968-980. doi: 10.1016/j.annonc.2024.08.2242. Epub 2024 Sep 14.
PubMed 39284383Slomovitz BM, Cibula D, Lv W, Ortac F, Hietanen S, Backes F, Kikuchi A, Lorusso D, Danska-Bidzinska A, Samouelian V, Barretina-Ginesta MP, Vulsteke C, Lai CH, Pothuri B, Zhang Y, Magallanes-Maciel M, Amit A, Guarneri V, Zagouri F, Bell M, Welz J, Eminowicz G, Hruda M, Willmott LJ, Lichfield J, Wang W, Orlowski R, Aktan G, Gladieff L, Van Gorp T. Pembrolizumab or Placebo Plus Adjuvant Chemotherapy With or Without Radiotherapy for Newly Diagnosed, High-Risk Endometrial Cancer: Results in Mismatch Repair-Deficient Tumors. J Clin Oncol. 2025 Jan 20;43(3):251-259. doi: 10.1200/JCO-24-01887. Epub 2024 Oct 16.
PubMed 39411812
Study at a glance
From the registry record, last updated by the sponsor on 18 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind Study of Pembrolizumab Versus Placebo in Combination With Adjuvant Chemotherapy With or Without Radiotherapy for the Treatment of Newly Diagnosed High-Risk Endometrial Cancer After Surgery With Curative Intent (KEYNOTE-B21 / ENGOT-en11 / GOG-3053)
- ClinicalTrials.gov ID
- NCT04634877
- Acronym / sponsor ID
- 3475-B21
- Conditions
- Endometrial Neoplasms
- Keywords
- Programmed Cell Death-1 (PD1, PD-1), Programmed Death-Ligand 1 (PDL1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2 )
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 990 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- European Network of Gynaecological Oncological Trial Groups (ENGOT), Gynecologic Oncology Group
- Study start
- 10 Jan 2021 (actual)
- Primary completion
- 20 Nov 2026 (estimated)
- Study completion
- 20 Nov 2026 (estimated)
- First posted
- 18 Nov 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare pembrolizumab + adjuvant chemotherapy with placebo + adjuvant chemotherapy, with or without radiotherapy, with respect to disease-free survival (DFS) as assessed radiographically by the investigator or by histopathologic confirmation of suspected disease recurrence, and with respect to overall survival (OS). The primary hypotheses are that pembrolizumab + adjuvant chemotherapy is superior to placebo + adjuvant chemotherapy, with or without radiotherapy, with respect to DFS as assessed radiographically by the investigator or by histopathologic confirmation of suspected disease recurrence, and with respect to OS.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pembrolizumab + Chemotherapy | Experimental | Biological: Pembrolizumab, Drug: Carboplatin, Drug: Paclitaxel, Drug: Docetaxel, Drug: Cisplatin, Radiation: External Beam Radiotherapy (EBRT), Drug: Cisplatin (as radiosensitizer), Radiation: BrachytherapyParticipants receive pembrolizumab 200 mg intravenously (IV) on Day 1 of each 3-week cycle (Q3W) for 6 cycles followed by pembrolizumab 400 mg IV on Day 1 of each 6-week cycle (Q6W) for an additional 6 cycles. During the Q3W dosing period of pembrolizumab, participants receive concurrent standard of care (SoC) chemotherapy for 4 or 6 cycles. Participants optionally receive radiotherapy starting within 6 weeks of completion of SoC chemotherapy. The SoC chemotherapy regimen includes carboplatin AUC 5 or 6 IV Q3W plus paclitaxel 175 mg/m^2 IV Q3W. In the event of severe hypersensitivity to, or an AE requiring discontinuation of, carboplatin or paclitaxel, cisplatin or docetaxel may be substituted after investigator consults with sponsor. The SoC radiotherapy regimen may include, at the discretion of the investigator, external beam radiotherapy (EBRT) ≥4500 cGY with variable dose frequency, with or without cisplatin 50 mg/m^2 IV on days 1 and 29 of EBRT, and/or brachytherapy radiation. |
| Placebo + Chemotherapy | Placebo comparator | Drug: Carboplatin, Drug: Paclitaxel, Drug: Placebo for pembrolizumab, Drug: Docetaxel, Drug: Cisplatin, Radiation: External Beam Radiotherapy (EBRT), Drug: Cisplatin (as radiosensitizer), Radiation: BrachytherapyParticipants receive placebo to pembrolizumab intravenously (IV) on Day 1 of each 3-week cycle (Q3W) for 6 cycles followed by placebo IV on Day 1 of each 6-week cycle (Q6W) for an additional 6 cycles. During the Q3W dosing period of placebo, participants receive concurrent standard of care (SoC) chemotherapy for 4 or 6 cycles. Participants optionally receive radiotherapy starting within 6 weeks of completion of SoC chemotherapy. The SoC chemotherapy regimen includes carboplatin AUC 5 or 6 IV Q3W plus paclitaxel 175 mg/m^2 IV Q3W. In the event of severe hypersensitivity to, or an AE requiring discontinuation of, carboplatin or paclitaxel, cisplatin or docetaxel may be substituted after investigator consults with sponsor. The SoC radiotherapy regimen may include, at the discretion of the investigator, external beam radiotherapy (EBRT) ≥4500 cGY with variable dose frequency, with or without cisplatin 50 mg/m^2 IV on days 1 and 29 of EBRT, and/or brachytherapy radiation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Has a histologically confirmed new diagnosis of Endometrial Carcinoma or Carcinosarcoma (Mixed Mullerian Tumor) and:
- Is disease-free with no evidence of loco-regional disease or distant metastasis post operatively and on imaging.
- Has not received any radiation or systemic therapy, including immunotherapy, hormonal therapy, or hyperthermic intraperitoneal chemotherapy (HIPEC), in any setting including the neoadjuvant setting for endometrial cancer (EC).
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days before randomization.
- Submission of a tumor tissue sample from current diagnosis of Endometrial Carcinoma or Carcinosarcoma for prospective determination of histology and mismatch repair (MMR) status by central vendor is required for all participants.
Key exclusion criteria (26 listed)
- Has recurrent endometrial carcinoma or carcinosarcoma.
- Has uterine mesenchymal tumor such as an endometrial stromal sarcoma, leiomyosarcoma, or other types of pure sarcomas. Adenosarcomas are also not allowed.
- Has FIGO (2009) Surgical Stage I/II EC of endometrioid histology without a known aberrant p53 expression or p53 mutation.
- Is known to have a deoxyribonucleic acid (DNA) polymerase epsilon catalytic subunit A (POLE) mutation.
- Has FIGO Stage IVB disease of any histology even if there is no evidence of disease after surgery.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PembrolizumabAlso: KEYTRUDA®, MK-3475IV infusion | Biological | Pembrolizumab + Chemotherapy |
| CarboplatinIV infusion | Drug | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| PaclitaxelIV infusion | Drug | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| Placebo for pembrolizumabIV infusion | Drug | Placebo + Chemotherapy |
| DocetaxelIV infusion docetaxel 75 mg/m^2 Q3W or 25 mg/m2 QW may be given in place of paclitaxel following sponsor consultation if a participant experiences severe hypersensitivity to paclitaxel or an adverse event requiring discontinuation of paclitaxel. | Drug | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| CisplatinAlso: Platinol®, Platinol®-AQCisplatin 75 mg/m^2 IV infusion Q3W may be given in place of carboplatin following sponsor consultation if a participant experiences severe hypersensitivity to carboplatin or an adverse event requiring discontinuation of carboplatin. | Drug | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| External Beam Radiotherapy (EBRT)≥4500 cGY given according to local practice, at the discretion of the investigator | Radiation | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| Cisplatin (as radiosensitizer)Also: Platinol®, Platinol®-AQIf a participant receives external beam radiotherapy (EBRT), then cisplatin 50 mg/m^2 IV infusion may be administered as a radiosensitizer at the discretion of the investigator, on days 1 and 29 | Drug | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
| BrachytherapyAlso: Internal radiation therapyGiven according to local practice, at the discretion of the investigator | Radiation | Pembrolizumab + Chemotherapy, Placebo + Chemotherapy |
Primary outcome
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence
Time frame: Up to approximately 42 months
DFS is defined as the time from randomization to the first documented local recurrence, distant metastasis, secondary systemic malignancy, or death due to any cause, whichever occurs first. The DFS as assessed radiographically by investigator or by histopathologic confirmation of suspected disease recurrence, will be presented.
Overall Survival (OS)
Time frame: Up to approximately 54 months
OS is defined as the time from randomization to death due to any cause.
10 secondary outcomes
Disease-Free Survival (DFS) as Assessed Radiographically by Blinded Independent Central Review (BICR) or by Histopathologic Confirmation of Suspected Disease Recurrence
Time frame: Up to approximately 42 months
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Combined Positivity Score (CPS)-Determined Programmed Cell Death 1 Ligand 1 (PD-L1) Status
Time frame: Up to approximately 42 months
Overall Survival (OS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Combined Positivity Score (CPS)-Determined Programmed Cell Death 1 Ligand 1 (PD-L1) Status
Time frame: Up to approximately 54 months
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Tumor Mutation Burden (TMB) Status
Time frame: Up to approximately 42 months
Overall Survival (OS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence by Tumor Mutation Burden (TMB) Status
Time frame: Up to approximately 54 months
Number of Participants Who Experience One or More Adverse Events (AEs)
Time frame: Up to approximately 54 months
Number of Participants Who Discontinue Study Treatment Due to an Adverse Event (AE)
Time frame: Up to approximately 52 weeks
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status/Quality of Life (QoL) Score
Time frame: Baseline and up to approximately 54 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Physical Function Score
Time frame: Baseline and up to approximately 54 months
Change from Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Symptom Specific Scale for Endometrial Cancer (EORTC QLQ-EN24) Score
Time frame: Baseline and up to approximately 54 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Sep 2026.
- Results publication: PubMed 39284383Van Gorp T, Cibula D, Lv W, Backes F, Ortac F, Hasegawa K, Lindemann K, Savarese A, Laenen A, Kim YM, Bodnar L, Barretina-Ginesta MP, Gilbert L, Pothuri B, Chen X, Flores MB, Levy T, Colombo N, Papadimitriou C, Buchanan T, Hanker LC, Eminowicz G, Rob L, Black D, Lichfield J, Lin G, Orlowski R, Keefe S, Lortholary A, Slomovitz B; ENGOT-en11/GOG-3053/KEYNOTE-B21 investigators. ENGOT-en11/GOG-3053/KEYNOTE-B21: a randomised, double-blind, phase III study of pembrolizumab or placebo plus adjuvant chemotherapy with or without radiotherapy in patients with newly diagnosed, high-risk endometrial cancer. Ann Oncol. 2024 Nov;35(11):968-980. doi: 10.1016/j.annonc.2024.08.2242. Epub 2024 Sep 14.
- Results publication: PubMed 39411812Slomovitz BM, Cibula D, Lv W, Ortac F, Hietanen S, Backes F, Kikuchi A, Lorusso D, Danska-Bidzinska A, Samouelian V, Barretina-Ginesta MP, Vulsteke C, Lai CH, Pothuri B, Zhang Y, Magallanes-Maciel M, Amit A, Guarneri V, Zagouri F, Bell M, Welz J, Eminowicz G, Hruda M, Willmott LJ, Lichfield J, Wang W, Orlowski R, Aktan G, Gladieff L, Van Gorp T. Pembrolizumab or Placebo Plus Adjuvant Chemotherapy With or Without Radiotherapy for Newly Diagnosed, High-Risk Endometrial Cancer: Results in Mismatch Repair-Deficient Tumors. J Clin Oncol. 2025 Jan 20;43(3):251-259. doi: 10.1200/JCO-24-01887. Epub 2024 Oct 16.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
231 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pembrolizumab, Carboplatin and Paclitaxel in people with Endometrial Neoplasms, run by Merck Sharp & Dohme LLC at 231 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 231 sites in United States, China, Japan, Russia, France and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-Free Survival (DFS) as Assessed Radiographically by Investigator or by Histopathologic Confirmation of Suspected Disease Recurrence (time frame: Up to approximately 42 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04634877, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Sep 2026.